ADDRESSING THE MENTAL HEALTH

NEEDS OF RACIAL AND ETHNIC MINORITY

YOUTH

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Enhancing cultural humility to address mental health disparities

among racial and ethnic minority youth

Extending the practice of cultural humility beyond the clinical

encounter

Cultural humility

• Cultural humility a process-oriented approach• According to Hook, Davis Owen & Worthington (2013):

• The “ability to maintain an interpersonal stance that is other-oriented (or open to the other) in relation to aspects of cultural identity that are most important to the [person]”

• Tervalon & Murray-Garcia (1998) identified three tenets:• Lifelong commitment to self-evaluation and self-critique• Fix power imbalances

• Provider - scientific knowledge• Client - personal history & preferences

• Develop partnerships with people & groups who advocate for others

Cultural humility

• Cultural humility extends beyond the therapist - client relationship

• Positive Racial and Ethnic Identity– Racial and Ethnic socialization– Encourage children’s positive identity about race

and ethnicity through teaching

• ACE scores

Cultural humility –beyond the clinical relationship

• Hours of operation• Site location and atmosphere• Transportation alternatives• Ability of clients to initiate treatment• Language barriers• Service compatibility with client’s worldview• Staff training• Provision of evidence-based services

Utilize existing resources

• SAMHSA’s Treatment Improvement Protocol– Best practices for improving cultural competence

• Individual level• Programmatic and organizational levels

• Cultural Formulation Interview– Assess cultural orientation

(McDonald, Morton, & Stewart, 1993)

• Culturally integrated treatment plans– Implementation of traditional practices

ECOMAP

Community outreach

• Foster relationships with other organizations that work with youth

• Align goals and actions of multiple systems that all impact mental health disparities

• Educate or train members of the public to provide them with skills and knowledge so they can help their own community

Community outreach

• Foster relationships with key stakeholders in the community– Extended family– Political leaders– Clergy, religious leaders– Tribal leaders– Mental health providers– School administrators– Medical providers– Juvenile justice

Community collaboration

• Fostering community relationships promotes the well being of clients and their social systems

• Creates a mental health “network” for clients and encourages partnerships that promote culturally-sensitive care

• Helps clinicians to better understand barriers to treatment experienced by the community members

Extending the practice of cultural humility beyond the

clinical encounter